Abstract
The results of this preliminary study of 94 healthcare providers show that they had high hope levels when working with patients infected with HIV. The providers named imparting hope during the counseling process as the most important intervention for increasing patients' treatment adherence. Although half of the respondents had uncertain expectations for the future of their patients, more than one third had hopeful expectations, with only a small minority having hopeless expectations. An overwhelming majority reported they did not have negative attitudes toward or uncomfortable feelings when working with patients who were infected with HIV, regardless of method of acquiring HIV, gender, or sexual orientation. Moreover, respondents seemed to have a balanced emotional state, with the majority reporting that they experienced more positive emotions than negative emotions when working with their patients over time. Implications for healthcare providers are discussed.
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References
Ader, R. (1981). Psychoneuroimmunology. New York: Academic Press.
Anderson, J. R. (1992, August). Fostering hope: A report from frontline AIDS health care providers. Paper presented at the American Psychological Association, Washington, DC.
Babbie, E. (1983). The practice of social rT0. Belmont, CA: Wadsworth.
Bartlett, J. G. (1998). Medical management of HIV. Retrieved from The Johns Hopkins University Division of Infectious Diseases Web site http://www.hopkins-AIDS.edu/publication/index_pub.html; March 2, 1999.
Catalan, J., Meadows, J., and Douzenis, A. (2000). The changing pattern of mental health problems in HIV infection: The view from London, UK. AIDS Care, 12, 333-342.
Cowles, K. V., and Rodgers, B. L. (1994). Significant others of persons with AIDS: A preliminary study. Journal of Gay and LJ0 J1J2, 2, 101-119.
Elliott, T. R., Witty, T. E., Herrick, S., and Hoffman, J. T. (1991). Negotiating reality after physical loss: Hope, depression, and disability. Journal of Personality and SJ0 J1J2, 61, 608-613.
Erikson, E. H. (1982). The life cycle completed. New York: Norton.
Erikson, E. H., Erikson, J. M., and Kivnick, H. Q. (1986).Vital involvement in old age. New York: Norton.
Farran, C. J., and Popovich, J. M. (1990). Hope: A relevant concept for geriatric psychiatry. Archives in Psychiatric Nursing, 4, 127-130.
Farran, C. J., Herth, K. A., and Popovich, J. M. (1995). Hope and hopelessness. Thousands Oaks, CA: Sage.
Frank, J. D. (1975). The faith that heals. The Johns Hopkins Medical JT0, 137, 127-131.
Guindon, M. H. (2002). Toward accountability in the use of the self-esteem construct. Journal of Counseling and DJ0, 80, 204-214.
Hall, B. A. (1990). The struggle of the diagnosed terminally ill person to maintain hope. Nursing Science Quarterly, 4, 177-184.
Hall, B. A. (1994). Ways of maintaining hope in HIV disease. Nursing and Health, 17, 283-293.
Harvey, J. H., Orbuch, T. L., Weber, A. I., Mervach, N., and Alt, R. (1992). House of pain and hope: Accounts of loss. Death Studies, 16, 99-124.
Herth, K. (1990). Fostering hope in terminally-ill people. Journal of Advanced Nursing, 15, 1250-1259.
Jorgensen, M. J., and Marwit, S. J. (2001). Emotional support needs of gay males with AIDS. AIDS Care, 13, 171-175.
Kim, T. S. (1991). Hoping strategies for the amyotrophic lateral sclerosis patient. Loss, Grief, and Care, 4, 239-249.
Klenow, D. J. (1991). Emotion and life threatening illness: A typology of hope sources. Omega, 24, 49-60.
Koenig, R. (1969). Anticipating death from cancer: Physician and patient attitudes. Michigan Medicine, 68, 402-409.
Lloyd, G. A., and Kuszelewicz, M. A. (Eds.). (1995). HIV disease: Lesbians, gays, and the social services. New York: Haworth.
Locke, S., and Colligan, D. (1986). The healer within: The new medicine of mind and body. New York: Mentor.
Miller, J. F., and Powers, M. (1988). Development of an instrument to measure hope. Nursing Research, 37, 6-10.
Moon, C., and Snyder, C. R. (2000). Hope and the journey with AIDS. In C. R. Snyder (Ed.), Handbook of hope: Theory, measures, and applications (pp. 341-353). San Diego, CA: Academic.
Nowotny, M. L. (1989). Assessment of hope in patients with cancer: Development of an instrument. Oncology Nursing Forum, 16, 75-79.
Nowotny, M. L. (1991). Every tomorrow, a vision of hope. Journal of Psychosocial Oncology, 9, 117-126.
Owen, D. (1989). Nurses'; perspectives on the meaning of hope in patients with cancer: A qualitative study. Oncology Nursing Forum, 16, 75-79.
Patton, M. Q. (1982). Practical evaluation. Newbury Park, CA: Sage.
Patton, M. Q. (1990). Qualitative evaluation and research mQ0. Newbury Park, CA: Sage.
Shelby, R. D. (1995). People with HIV and tP0 P1P2 P3P4 P5P6. New York: Harrington Park.
Sherwin, E. D., Elliott, T. R., Rybarczyk, B. D., Frank, R. G., Hanson, S., and Hoffman, J. (1992). Negotiating the reality of care giving: Hope, burnout, and nursing. Journal of Social and CJ0 J1J2, 11, 129-139.
Siebert, J. J., and Dorfman, W. I. (1995). Group composition and its impact on effective group treatment of HIV and AIDS patients. Journal of Developmental and PJ0 J1J2, 7, 317-334.
Siegel, B. (1986). Love, medicine, and miracles. New York: Harper and Row.
Silverman, D. C. (1993). Psychosocial impact of HIV-related caregiving on health providers: A review and recommendations for the role of psychiatry. American Journal of Psychiatry, 150, 705-712.
Snyder, C. R. (1994). The psychology of hope: You can get there from here. New York: Free Press.
Snyder, C. R. (Ed.). (2000). Handbook of hope: Theory, measures, and applications. San Diego, CA: Academic.
Snyder, C. R., Irving, L. M., and Anderson, J. R. (1991a). Hope and health. In C. R. Snyder and D. R. Forsyth (Eds.), Handbook of social and clinical psychology: The health perspective (pp. 285-305). Elmsford, NY: Pergamon.
Snyder, C. R., Harris, C., Anderson, J. R., Holleran, S. A., Irvin, L. M., Sigmon, S. T., et al. (1991b). The will and the ways: Development and validation of an individual-differences measure of hope. Journal of Personality and SJ0 J1J2, 60, 570-585.
Snyder, C. R., LaPoint, A. B., Crowson,, J. J.,Jr. and Early, S. (1998). Preferences of high-and low-hope people for self-referential feedback. Cognition and Emotion, 12, 807-823.
Snyder, C. R., Cheavens, J., and Michaels, S. T. (1999). Hoping. In C. R. Snyder (Ed.), Coping: The psychology of what works (pp. 205-251). New York: Oxford University Press.
Strader, S. C. (1993), (February). Counseling people with HIV and AIDS: Needs, solutions, and experiences. Paper presented at the annual convention of the Indiana Counseling Association, Muncie, IN.
Udelman, D. L., and Udelman, H. D. (1985). A preliminary report on anti-depressant therapy and its effects on hope and immunity. Social Science Medicine, 20, 1069-1072.
Westburg, N. G. (1999). Older women: Hope and approaches to life. Adultspan Journal, 1, 79-90.
Westburg, N. G. (2001). Hope in older women: The importance of past and current relationships. Journal of Social and CJ0 J1J2, 20, 354-365.
Westburg, N. G. (2003). The importance of hope and humor in residents and staff at an assisted living facility. Journal of Mental Health CJ0, 25, 16-32.
Westburg, N. G., and Boyer, M. C. (1999). Assessing clients'; level of hope: A preliminary study at a college counseling center. Journal of College Counseling, 1, 25-32.
Westburg, N. G., and Martin, D. (2003). The relationship between a child';s hope, a parent';s hope, and student-directed, goal-oriented academic instruction. The Journal of Humanistic Counseling, Education and Development, 42, 152-164.
Witmer, J. M., and Sweeney, T. J. (1992). A holistic model for wellness and prevention over the life span. Journal of Counseling and DJ0, 71, 140-147.
Wong-Wylie, G., and Jevne, R. F. (1997). Patient hope: Exploring the interactions between physicians and HIV seropositive individuals. Qualitative Health Research, 7, 32-57.
Wright, B. A., and Lopez, S. J. (2002). Widening the diagnostic focus: A case for including human strengths and environmental resources. In C. R. Snyder and D. R. Forsyth (Eds.), Handbook of social and clinical psychology: The health perspective (pp. 26-44). Elmsford, NY: Pergamon.
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Westburg, N.G., Guindon, M.H. Hope, Attitudes, Emotions, and Expectations in Healthcare Providers of Services to Patients Infected with HIV. AIDS Behav 8, 1–8 (2004). https://doi.org/10.1023/B:AIBE.0000017520.33843.8f
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DOI: https://doi.org/10.1023/B:AIBE.0000017520.33843.8f